IndividualActive
Melissa Melendez Russo, D.O
NPI 1669906574 · Sports Medicine (Family Medicine) Physician · Edison, NJ
Provider details
- NPI number
- 1669906574
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Female
- Sole proprietor
- No
- License
- 25MB10895400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2035 Lincoln Hwy
Edison, NJ 08817-3351
Phone: (732) 974-0404
Fax: (732) 449-4271
Approximate (ZIP-level) locationGet directions
Mailing address
2315 Route 34
Manasquan, NJ 08736-1444
Registry dates
- Enumerated
- 2017-04-18
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.